MEDICARE: MR. WESLEY H FAUNCE III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	ME74121	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13347	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003878877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WESLEY H FAUNCE III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-772-5577
Fax Number	:	239-573-1528

Provider Business Practice Location Address
First Line	:	632 DEL PRADO BLVD N
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2278
Country	:	US
Telephone Number	:	239-772-5577
Fax Number	:	239-573-1528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	03/05/2025

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